基于目标管理理念的优质护理在Stanford A型主动脉夹层患者中的应用效果

Application effect of high-quality nursing based on the concept of goal management in patients with Stanford type A aortic dissection

目的探讨基于目标管理理念的优质护理在Stanford A型主动脉夹层(AD)患者中的应用效果。方法以2020年12月至2021年11月于滨州医学院附属医院接受手术治疗的82例Stanford A型AD患者为研究对象,采用随机数字表法将其分成观察组(41例)和对照组(41例)。对照组和观察组患者分别给予常规护理和基于目标管理理念的优质护理。比较2组患者的谵妄发生情况、认知功能、心理状况、并发症发生率和住院时间。结果观察组的谵妄发生率和谵妄评定法-严重程度评分均低于对照组,谵妄持续时间短于对照组(P均<0.05)。干预5 d及出院时,2组的蒙特利尔认知评估量表评分均高于入院时,贝克焦虑量表和贝克抑郁量表21项版评分均低于入院时(P均<0.05);观察组的上述评分均优于同期对照组(P均<0.05)。观察组的住院时间短于对照组,并发症总发生率低于对照组(P均<0.05)。结论基于目标管理理念的优质护理能够改善Stanford A型AD患者的谵妄发生情况、认知功能和心理状况,降低并发症发生率,缩短其住院时间。

Objective To explore the application effect of high-quality nursing based on the concept of goal management in the patients with Stanford type A aortic dissection(AD).Methods Eighty-two patients with Stanford type A AD who underwent surgery at Binzhou Medical University Hospital from December 2020 to November 2021 were recruited for the study and divided into an observation group(41 patients)and a control group(41 patients)by using a random number table.The control group and the observation group were given conventional nursing and high-quality nursing based on the concept of goal management,respectively.The delirium,cognitive function,psychological status,complication rate,and length of hospital stay of the two groups were compared.Results The delirium rate and Confusion Assessment Method-Severity scores were lower in the observation group than in the control group,and the duration of delirium was shorter in the observation group(all P<0.05).After 5 days of intervention and at discharge,the Montreal Cognitive Assessment scores in both groups were higher than those at admission,and the scores of 21-item Beck Anxiety Inventory and Beck Depression Inventory were lower than those at admission(all P<0.05).The above-mentioned scores were better in the observation group than in the control group on the corresponding period(all P<0.05).The length of hospital stay was shorter in the observation group than in the control group,and the overall complication rate was lower in the observation group(both P<0.05).Conclusion High-quality nursing based on the concept of goal management can improve the delirium,cognitive function,and psychological status of patients with Stanford type A AD,reduce the complication rate,and shorten the hospital stay.